On reception to the gynecologist it is desirable to go on 6-th week of pregnancy. During the first visit, the doctor will conduct a thorough examination: assess the condition of the cervix and vagina, find out the size of the pelvis, check your weight and measure blood pressure. Prepare to communicate with this doctor at least once a month. Try to establish contact, do not hesitate to ask questions that interest you. If the expert for some reason does not cause confidence, turn to another (apply to the head physician) at the same polyclinic or in a private clinic.
Introductory course
First of all, the doctor will tell you about the rules of your diet, the regime, the allowable physical activity during the examinations and tests during pregnancy. The doctor will write a direction for a blood test: a Wasserman reaction (RW, for the detection of syphilitic infection), HIV, hepatitis B and C. Blood is taken from the veins on an empty stomach. In the morning you will drink only a little water.
Do not forget: the evening meal is the last, otherwise false positive reactions are possible. A blood test for hormones will help to identify or disprove the presence of the disease (hypothyroidism, goiter), to prevent its development. The blood group and the Rh factor are also determined by a blood test from the vein. If you have a negative Rh factor, and your husband has a positive Rh factor, you will need to take a blood test for antibodies every two weeks. Biochemical blood test will allow to evaluate the work of many internal organs: kidney, liver, pancreas. In addition, it will show what micronutrients you are missing. Smear on the microflora and the degree of purity from the genital tract also do not miss!
With the help of these procedures, examinations and analyzes during pregnancy, the doctor checks whether there is any inflammatory process in the body, and is able to identify some pathogens of the female genital tract. If the smear results are unsatisfactory, be sure to take a smear for sexually transmitted infections. Blood from the finger you will take monthly. Clinical analysis is needed to assess the quality and quantity of blood cells - erythrocytes, white blood cells, platelets. With a reduced number of red blood cells (iron-containing protein responsible for oxygen binding), a doctor may suspect anemia.
Inspection of the dentist is mandatory. The fact is that during pregnancy teeth become more vulnerable. The reason - a lack of calcium in the body, because the child takes the right portion for himself. Ultrasound is planned for 6-12 weeks. It is carried out with the aim of establishing the location of the fetal egg, diagnosing one- or multiple pregnancies, estimating the size and growth, the structure of the fetal egg and the embryo, diagnosing complications of pregnancy. Before the procedure, you need to drink about 300-500 ml of liquid without gas 30 minutes before the test. Always take a clean diaper or towel with you. Weighing, measuring blood pressure, height of the uterine fundus, listening to the fetal heartbeat, urine analysis - all this must be done every month.
Almost relax!
The second trimester most expectant mothers call "golden." Toxicosis no longer pains, and the size of the tummy does not cause special difficulties. Prepare for the passers-by on the street to smile at you. No wonder, you just shine with happiness! The doctor is probably one of the first to notice this. You continue to visit him regularly - every 4 weeks. The second ultrasound (between the 17th and 22nd week) will give an opportunity to know the sex of the child. The specialist will study the structure of the body of the baby, see if there are congenital malformations of the internal systems of the body, assess the amniotic fluid and the placenta.
Readiness
In the seventh-eighth month, you will have to visit the doctor once every two weeks, on the ninth - once a week. Before each arrival to the doctor it is necessary to pass the analysis of urine.
During this period, you will feel like an excellent student of prenatal preparation. Many procedures, as well as types of examinations and tests during pregnancy of the first trimester will be repeated. The doctor will monitor the pressure, the presence of protein and sugar in the blood, the height of the uterine fundus, the position, size and cardiac activity of the fetus. You reissue blood tests: biochemical, for AIDS and syphilis, a swab of the vagina. A US examination at the 34-36th week will check the placenta for "aging." The doctor will look at her location, assess the condition of the baby.
Cardiotocography will allow you to follow the cardiac activity of the crumbs and the contractile activity of the uterus. If the term of delivery established by the gynecologist is already behind, then you will spend a cardiotocography daily to decide whether you need to go to the hospital before the fights appear.
Rubella, cytomegalovirus, toxoplasmosis and chlamydia are infections that can cause illnesses in the baby. Take a survey!
Look at two indicators: antibodies of class G and antibodies of class M. The first evidence of the carrier of infection, the second - about the acute process.
For a baby, the situation is dangerous when a future mother becomes infected with this infection for the first time during pregnancy. This is indicated by a large number of antibodies of class M.
About 80% of people face lifelong infections, which is what the class G antibodies say. Their presence should not be feared by future mothers.
What will they show?
Reading the tests, of course, is not your task. But who said that the future mother should not know the rate of red blood cells or the permissible level of sugar in the body?
Measurement of pressure
The optimal result is 120/70 mm Hg. Art.
Finger blood test
The norm of red blood cells is not lower than 3800 x 10; white blood cells -4-10 thousand / l; the level of hemoglobin is 120-160 g / l. You must hand over this analysis before every scheduled visit to the gynecologist.
Level of sugar
If the blood sugar level does not exceed 6.6 mmol / l, then everything is in order and there are no reasons for concern. Higher rates indicate a violation in carbohydrate metabolism, possible gestational diabetes.
Analysis of urine
An increased amount of leukocytes in the urine indicates an inflammatory process - a urinary tract infection. It must be cured before delivery. The appearance in the urine of the protein indicates a violation of kidney function and probable gestosis.